Showing posts with label neurologist. Show all posts
Showing posts with label neurologist. Show all posts

Thursday, March 12, 2015

Day 1913

Dot got her stitches out today. The neurologist was very pleased with her progress but said that Dot was a little too active for this stage of her recovery. Evidently, during her exam she got up and started walking around the exam room on her own. We were told again that it is very important to keep Dot quiet for the next month while her body recovers from the surgery. We are never to let her wander around the house on her own. She should be confined whenever we have to leave the house, and if she gets too excited or agitated, we are to give her a sedative.

The doctor agreed that it wasn't a good idea to crate her if Dot doesn't have room to do change positions easily. She could hurt her spine if she got stuck in a twisted  position. Dot is supposed to rest in the crate, not struggle. So far, the gated hallway seems like the best solution. Dot is very peaceful here as long as I am in the house. If I leave, she becomes frantic and starts barking though. This is why the doctor thinks we might need to sedate Dot occasionally when we have to leave, so there are no separation anxiety panic attacks. This is going to be a very long couple of months.

Since Janet had to be gone for much of the day and I didn't have any deadlines to meet, I thought I'd try to get a couple of vintage watches running again. I think I've lost my touch. I didn't break anything, but I didn't have a lot of success either. Watches, like most mechanical things, need to be used. I've let my collection gather dust for far too long and many watches have stopped running. I could never afford to get them all professionally serviced, so this is is another ashes-to-ashes, dust-to-dust situation. Three old watches are ticking again however, so the afternoon wasn't a total loss.

I called the appliance repair company and convinced them to come out tomorrow and fix the dryer. I had to do this when the washing machine broke too. The repairmen will make no promises whatsoever. They just say they'll return with the part as soon as they can. If you don't call the main office and demand a speedy, expedited repair, you could end up waiting for weeks. I hate this "squeaky wheel" principle, but sometimes it's the only option you have.

Based on what I've observed this week, I'm dreading when Janet returns to work on Monday. There are hundreds of ways that Dot could hurt herself in our house, and she's not going to be content to sit in a small pen all day. She still has to go outside to pee a lot because of the prednisolone she's taking, and after about two hours of bed rest, she gets agitated and wants to move around. If Dash starts barking, she immediately starts barking too. Dalmatians aren't calm dogs by nature. I don't think bed rest is in their vocabulary.

I'm looking forward to getting out of the house for breakfast tomorrow morning. Janet will look after Dot while I'm away and then we'll trade places. This works pretty well. We'll see how it works when I'm on my own.

Lance is today's Dalmatian of the Day
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Sunday, March 8, 2015

Day 1909

We got a nice collapsible soft canvas crate to we can transport Dot back and forth to physical therapy after her stitches come out. When we tried to introduce her to the crate, she got scared and pooped in it. Oh, well. So much for taking the crate back to the store if it doesn't work out. This crate is smaller than a normal crate on purpose, because we want her to stay secure and in one place in the car. Dot fits in the crate just fine, but we didn't count on her having claustrophobia. So far, she hates the thing.

Although we struck out on the soft crate, we did figure out a good place for Dot to stay while I'm working around the house. Instead of a crate, I put a comfortable dog bed in a hallway that I can see from my desk in the office and used two wooden kiddie gates on either side to turn the bed into a pen. Dot seemed fine with this arrangement and slept peacefully for several hours while I worked on getting caught up on my website assignments. I put another dog bed right next to this fenced in area for Dash to sleep and everyone was happy for the first time in days.

I don't usually do website work on Sundays, but taking care of Dot has put me behind on several things. It was nice to have a quiet afternoon to get caught up on work while the dogs slept peacefully. This tranquility didn't last long unfortunately. We had burgers for dinner and Dot was mad that she couldn't sit under the table like she used to do and wait for table scraps. Even though we placed a dog bed as close to the dining table as we could, it wasn't close enough for her. Every time we would sit down at the table, Dot would try to get up.

The better Dot feels, the harder it becomes to look after her. It's OK for Dot to walk with assistance.  It's not OK for her to try to walk on her own yet. She can stand on her own for short periods of time now, but she still can't get up without assistance. Although she moves her legs well, she can't walk without assistance either. If I wasn't steadying her rear legs with the harness, she would quickly stumble and fall. All this would be very discouraging if it weren't for the fact that Dot seems to get a little better each day. The neurologist told us that recovery from this type of surgery was a long slow process. We've just got to be patient and make sure that Dot stays out of harm's way while she's learning to walk again.

Just as I predicted, there is more water on the roof now. It rained again today. It's not that bad though. All we got today was some drizzle and light showers. I think I'm going to wait until the weather clears up for at least a week before I go up on the roof again. It's just not worth the trouble to do this every other day. I'm beginning to think it's not worth the trouble to move every clock in the hour an hour forward either. Every time Daylight Savings Time rolls around I'm amazed at how many clocks we have around the house. I mush have spent an hour resetting wall clocks, table clocks, clocks in the television, clocks in the phone, and a variety of wristwatches. The computers, the phones, and even the new thermostat all managed to reset themselves this morning.

My teeth didn't hurt today. Maybe I've been grinding my teeth at night. I do that from time to time when I'm stressed. It's funny how wonderful a good night's sleep can seem when you're not sleeping well. Maybe tonight will be the night. It all depends on Dot. When Dot is sleeping well, we all sleep well.

Bacardi is today's Dalmatian of the Day
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Saturday, February 28, 2015

Day 1901

Although the weather got even worse overnight, Dot continues to get better. I was amazed that Dot's medical team even managed to get to the hospital today, since roads throughout the area were a sheet of ice when we woke up this morning. We were a little nervous when we didn't get our usual morning progress report phone call from the neurologist, but I imagine that things were pretty hectic at the hospital today. When we did get the call, everyone was all smiles. Dot continues to beat the odds with her amazing strength and determination. The neurologist told me that she and and others at the hospital find it hard to believe how old Dot actually is, since she continues to act like a much younger dog.

Dot is using her legs more than she was yesterday and appears to be in good spirits. Her appetite is good and she is sleeping well without strong sedatives. The hospital has already discontinued narcotic painkillers like Tramadol because Dot doesn't appear to need them. I'm glad they did this. I've never liked Tramadol anyway. It can be very addictive and has been responsible for many more accidental overdose deaths in humans than most people realize.

If Dot continues to improve at her current rate, she may end up being one of the lucky dogs who begin walking again in two or three weeks. Her nurse says she is already trying to put weight on her rear legs, although she still receives support from the Help "Em Up Harness whenever she tries to move. When I was using the harness with Dot before her surgery I could easily tell when she was trying to walk. There is a handle on the rear part of the harness just above the dogs hips and you hold it so the rear legs touch the ground without having to bear much weight. It feels a bit like being a puppeteer. As you get better at using the harness, you can sense when the muscles are working and when to provide more support. You can even encourage natural leg motion with subtle movement of your wrist. I think it is fantastic that Dot is already tentatively trying to walk, because I have heard that it can take up to three months before this happens.

The weather is so bad that Dot is much better off at the hospital that she'd be at home right now. Our yard is still slick and icy and the house is a bit chilly. Luckily, our furnace is working great this winter and there haven't been any problems with roof leaks. I'm used to spending lots of time in the house, but Janet is already getting cabin fever. She was determined to get out today and decided to go do her usual Saturday errands anyway despite the bad roads.

As the day progressed, the traffic in front of the house began to move faster and faster until I eventually became convinced that the roads were safe. I bundled up in a warm coat and left to do my errands as well. This was probably a mistake. The first thing I encountered was an enormous downed tree that had fallen across the road, blocking all but a single lane of traffic. When I successfully navigated this logjam, I quickly discovered that everyone in town had cabin fever. The roads were actually crowded today.

Most roads were clear and dry, except when they weren't. There were still patches of black ice here and there and they often caught people driving fifty miles an hour completely by surprise. Even though most of the ice had melted by mid-afternoon, I still saw quite a few wrecks. I drive slowly in this type of weather, never braking hard and coasting to a stop wherever I can. I'm always keeping an eye on my rear view mirror. I learned to drive in Alaska where the roads were icy all Winter. Ice is seldom the problem. It's the driver behind you who ignores the ice that causes most of the wrecks.

Dash has already appropriated Dot's special new dog bed. This is a minor problem though. Dogs are just like children in many ways. Tomorrow we will work on getting the house ready for Dot's return. If her progress continues, she could come home as soon as Monday afternoon.

Connor is today's Dalmatian of the Day
Watch of the Day

Friday, February 27, 2015

Day 1900

When Dot's neurologist called this morning to give us a progress report, she seemed pleased. Dot is already eating and drinking water on her own, so she was taken off of IV fluids today. When the nurses help her out to pee using a special sling under her belly, Dot moves her rear legs and even squats fairly normally. She can't support her own weight yet, or walk unassisted, but the neurologist assures me that this is normal at this stage of the game. Dot is still very weak and on a lot of pain medication, but everyone at the hospital thinks she's doing even better than expected. Her doctors are optimistic that she will learn to walk again.

I'm glad Dot is safe and warm at the hospital now, because the weather in Dallas has turned cold and nasty. It snowed most of the day and the temperature never got above freezing. Traffic was a nightmare and there were lots of wrecks all over the city. Janet and I both canceled afternoon appointments when we saw how the traffic was inching along in front of our house. It just wasn't worth trying to get out in this mess. You don't really worry about snow or ice when you venture out on days like this. You worry about the other drivers. A single idiot who doesn't know how to drive on snow can snarl up traffic for hours.

Dash is such a baby about walking in the rain that I didn't think he'd go out in the snow at all. Much to my surprise, he seemed to enjoy the stuff. We took a long walk where he hopped around in the small drifts, smelled the tracks left by other animals in the snow, and peed on everything. I think I got cold long before Dash did. I took some pictures while we were out to document the rare snowfall. The one I liked the best captured a single perfect snowflake caught in a spiderweb. If you look carefully, you can see the six sided flake suspended in the web.

We were going to visit Dot this weekend, but that will depend on the weather. It could get better tomorrow, or it could get worse. I think even the weather forecasters have given up trying to predict things. Two days ago, they said it was going to be sunny today. UPS delivered Dot's new rehabilitation dog bed this evening. It looks like it's about the right size and can be easily repositioned around the house when needed. Now we've just got to figure out an easy way to quickly assemble a secure fence around the bed when we have to leave. A friend said that that we could use some of the rubber backed rugs she'd used when she had an older dog who had difficulty walking. Slowly but surely, we're getting the house ready for Dot's return.

I'm glad I went to my favorite restaurant yesterday, because I certainly didn't feel like venturing out in the snow today. Apparently, not everybody shared my aversion to the wet stuff. Schools closed early and children were enjoying sledding down hills all over the neighborhood. I guess I've lost the fascination with snow I had as a child. I didn't build a snowman or even make a snow angel. It was fun watching Dash cavort around in the snow on our walk, but even he was glad to get back inside again where it was warm. I've got my fingers crossed for another sudden temperature reversal and a quick return to warmer weather. With the fickle Winter we've been having, it could happen at any time.

Thanks for keeping Dot in your thoughts and prayers. I'm looking forward to tomorrow's report from her medical team and I'll keep you posted on how she's doing. This remarkable dog has beat the odds again and again. Dot has been an inspiration to me for many years and it looks like the old girl is not ready to relinquish her role as the head of the household yet.

Princess is today's Dalmatian of the Day
Watch of the Day

Saturday, February 14, 2015

Day 1887 - Valentines Day

After viewing Dot's MRI scans with the neurologist this morning, it became painfully clear why she is having problems. Several spinal discs were visibly deformed, but one in particular was pressing directly against the normally round spinal cord, squeezing it into a squashed oval shape. There was a tiny shard or fragment from this damaged disk that looked like it was poking into the spinal cord itself. I was going to show you the image this evening so you could see for yourself, but unfortunately the DVD the hospital burned for me was another damaged disc. When I got home, my computer said the DVD was blank.

I typed up a list of questions this morning before we drove up to the hospital to pick up Dot. The neurologist was very patient, answering every question and much more. The only thing that she wasn't able to do was promise me that Dot's problems could be resolved. Could the little shard that had broken off from the disc be successfully removed without damaging the spinal cord? It is very likely that it could. Could something go wrong during surgery, making her condition even worse? Yes that could happen too. Could steroids alone reduce the inflammation around the spinal cord enough to allow Dot to resume a reasonably normal life. Possibly. This appears to be one of those things that you just don't know until you try. One of the keys to non-surgical treatment is 100% bed rest for up to eight weeks. Nerves are very fragile, are easily damaged, and can take a very long time to regenerate.

I felt a little better about the possibility of surgery after talking to the neurologist today. I felt a little worse about the whole recovery process after I read a website that described in great detail the many ways that dogs can screw up their own recovery by just being dogs. Dogs don't understand the concept of 100% bed rest and will do everything they can to resume their old activities. You have to watch them like a hawk at all times to ensure that they don't injure themselves.

As bad as it is, there are small signs of hope. When we took Dot to the specialty hospital her rear legs were completely lifeless. This morning, I could see small signs that she was attempting to move them. As I used the Help 'Em Up Harness throughout the day to get her outside to pee, I would often notice that her legs were attempting to move. Dot is a long, long way from being to support her own weight without assistance, but the fact that there is still a little feedback between the nerves in her legs and her spinal cord was encouraging.

I had to be the legs for my first Dalmatian during the last year of his life and it just about killed me. I wouldn't be a bit surprised if this is where all my current shoulder problems originated. Spot had a different problem than Dot has now, however. With Spot, a combination of hip dysplasia and a late in life cruciate ligament tear caused most of of the weakness in his rear legs. Spot was very weak but was never completely paralyzed. It was still possible to take him on walks using a supportive harness. Dot's condition is more serious.

Helping Dot recover will test the limits of my housebound lifestyle. Even I need to get out sometime. Janet and I will figure out a way to keep Dot under supervision at all times. It's not going to be easy though. Dot has already tried to get off her dog bed unassisted three times today. She is not a good candidate for being crated though, so I will always keep her nearby and be her legs when it looks like she needs to move. So far there have been no accidents. She is pretty good about letting me know when she needs to pee. She's even better about letting me know when she's hungry, which is almost all the time.

Tonight should be interesting. Dot has always slept in the bed, but the neurologist says that she absolutely must sleep on the floor and not get in the bed with us. There is just too much danger if she inadvertently tried to hop off the bed while we were asleep. I'm such a light sleeper that I almost always wake up whenever either dog moves during the night. I don't want to risk anything though, so maybe I'll sleep on the floor with her. Dot is today's Dalmatian of the day. I took this picture on Valentines Day several years ago when she was feeling much better.

Dot is today's Dalmatian of the Day
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Thursday, February 12, 2015

Day 1885

Dot suffered a serious setback today. The day started normally enough. Both dogs went out in the back yard to pee right after they woke up. Everything was normal. Dot and Dash wandered around the house while we got dressed to take them on their regular morning walk. Then Dot decided to stretch. I'm sure that many of you have seen dogs stretch their legs out behind them after they've been sleeping. Dash does this every morning and Dot used to stretch this way as well when she was younger. I don't know what made her feel like stretching this way today. Maybe she was feeling good. Almost immediately something went wrong. After stretching, she couldn't stand normally again and began to stumble. Within minutes, her rear legs were completely paralyzed.

An emergency trip to the vet confirmed my worst fears. By stretching this way, Dot had managed to rupture or blow out a disc in her spine. This is serious. If we are really lucky, cortisone shots might be able to reduce the inflammation enough so she could regain some limited mobility. If we aren't so lucky, surgery is usually the only alternative. We are seeing one of the best veterinary neurologists in the area tomorrow morning and are hoping for the best. Dot will probably have an MRI or CAT scan tomorrow to see exactly what is going on in her spine. We can't even begin cortisone treatments yet because she still has Rimadyl in her system and the two drugs can't be administered at the same time. She has to wait a minimum of 48 hours to clear the remaining Rimadyl from her body.

Dot is totally confused. One minute she was feeling great and the next minute her rear legs are paralyzed. She is still alert and has a good appetite, but she can't move. We still had a special harness that helped our first Dalmatian get about when his legs began to fail. Unfortunately, this harness didn't fit Dot. During her exam, our vet was able to fit Dot for a new Help 'Em Up Harness which is much better than the old Walkabout Harness that Spot used to wear. The harness can only do so much though. Dot has no sensation in her rear legs and doesn't even attempt to move them.

One of the most difficult things with a paralyzed dog is getting them to pee and poop. Our vet was worried that the injury might have damaged the nerves that control her bladder. I was worried too. Luckily, Dot can still pee. It's messy and it's difficult to get her into a squatting position, but she was able to pee after dinner tonight. A little later, she pooped as well, so there's still hope.

I canceled all my appointments, including my dental surgery, for next week. I don't know what lies ahead at this point, but I'm sure it will involve constant care and attention. You can't really leave Dot alone in this condition because she could easily injure or even break one of her rear legs without even realizing it. I've cared for a dog with a spinal injury once before and it was extremely difficult. Spot did eventually recover though and I want to give Dot every possible opportunity to recover as well. I don't know if she's strong enough for surgery, especially since she had such a difficult time recovering from her cancer surgery last year. Hopefully, the neurologist will be able to give us some hopeful news tomorrow. I'm a strong person, but this has really got me down.

Lucy is today's Dalmatian of the Day
Watch of the Day

Tuesday, April 16, 2013

Day 1218

Dot went to see the neurologist today. I don't know what Dot thought, but I found the entire visit a bit unsettling. After I described Dot's symptoms, the vet asked me a bunch of questions and then proceeded to tell me that in about 40% of cases like Dots, they were never able to determine what was causing the problem. After that, she proposed a number of tests, all of which required that Dot be under general anesthesia. The MRI she wanted to do would be taken at another facility, which meant that Dot would be transported to and from the specialty clinic on some of the worst freeways in Texas while still under anesthesia. I didn't like this idea at all. She also wanted to do a spinal tap, which made me nervous as well. I guess spinal taps are safe, but I've heard some terrible things about them.

I didn't mention this to the vet, but what made me the most nervous of all is that the recovery facility where Dot would be staying overnight after the MRI had gotten some terrible reviews on the Google Maps website. I know that some of the things people say online aren't fair, and in some cases aren't even true, but multiple bad reviews does make you stop and think things over. At any rate, I postponed the MRI and other tests until I could talk to Janet and my regular vet again. Dot is thirteen years old. Certain things could definitely help her, but sometimes the cure can be more traumatic than the disease. I think she's too old and frail to even consider spinal surgery.

I think my memory is shot. I completely forgot about Dot's acupuncture appointment yesterday. I looked on the computer and discovered that I had failed to make an entry for the appointment. I've gotten to where if something doesn't beep and remind me on my phone, I don't remember it at all. I didn't even think about the appointment until I was trying to remember my vets name at the specialty clinic this morning. There are just too many things going on for me to remember them all. At least I remembered Dash's antigen shot this afternoon. It seems like I spent my entire day at the vet.

I had terrible dreams last night. I frequently have dreams where I am lost and trying to find my way back home. Sometimes I am in a hotel, or in a city that I visited long ago. This time I think I was in Las Vegas. At least I started there. Every time I went through a door, or stepped out of an elevator in this dream, the environment changed completely and I was somewhere else. Then the door disappeared. There was no retracing my steps. I became increasingly lost and disoriented until eventually I didn't even know what planet I was on. Luckily, one of the dogs woke me up and when I got up to go to the bathroom, the dream disappeared.

In between the vet visits, I managed to complete quite a few small writing assignments. Dot ended up skipping breakfast for nothing, but she is happy to be home. I skipped breakfast as well. I didn't need to fast. I just ran out of time.

Becker is today's Dalmatian of the Day
Watch of the Day

Tuesday, April 9, 2013

Day 1211

I paid a visit to my watchmaker today. A lot of my clients are irritating, but I always enjoy talking with the watchmaker. He's a charter member of that dying breed of people who can actually fix things and understand how mechanical things work. When I was growing up, the United States was full of these clever, industrious men, but there are very few left. I tried to explain social media to the watchmaker while he repaired a beautiful old Angela Cummings watch of Janet's. The watchmaker and I both love cars, so we talked about exotic machines we've owned and would like to own. The watchmaker has a vintage Porsche and I have an old Maserati. At least his car runs. Mine doesn't. The watchmaker regaled me with stories about inept customers who destroyed their expensive Rolex by trying to fix it themselves. I told him about ad campaigns that failed miserably when the client refused to listen. It was a very pleasant afternoon.

I made an appointment to take Dot to see a neurologist next week. She's going to need a CAT scan to make sure she doesn't have a brain tumor. Apparently, the symptoms that she's been having could be caused by epilepsy, a tumor in the brain, or by something else entirely. A CAT scan, or possibly a MRI of her brain, will help pinpoint the cause of her recent seizures. It's too bad dogs have trouble staying still on their own. A CAT scan or MRI is a relatively simple procedure for humans. I've had many of these scans myself. Part of the procedure involves holding your breath for up to 20 seconds at a time while the image is being created. Not surprisingly, dogs have trouble holding their breath, so they have to be sedated under general anesthesia during the scan. Dot is not going to like all this, but it needs to be done.

My poison ivy is starting to get better. The steroid treatments really do work. There's a downside however. It's not a good idea to take steroids for this sort of thing more than once a year. It  looks like I'm going to have to be extra careful not to catch another case of poison ivy later this summer. This is going to be tough, because I'm seeing the stuff everywhere now. I see fresh, green little poison ivy plants on either side of the trail during our daily walks. I've told Dash to help me out on this, but I don't think he was listening.

There are supposed to be thunderstorms tomorrow, but I hope they don't materialize. I'm not sure if I was able to pinpoint the source of the latest roof leak during last week's round of storms. Not really looking forward to plastic buckets strategically placed all around the living room floor again. Dot is scared of storms too and I'm worried that thunder and lightning might trigger another seizure. Maybe the weather will surprise me and turn out to be nice. I think I deserve that.

Livy is today's Dalmatian of the Day
Watch of the Day

Monday, April 8, 2013

Day 1210

I liked the roofing people that came over to look at the house today. These roofers work almost exclusively with architects on new construction jobs, as opposed to all the other roofers who seem to spend most of their time dealing with insurance claims adjustors on hail damage jobs. I was genuinely impressed with these guys. They were knowledgeable and were able to come up with creative solutions to my own peculiar roofing problems. Unless their bid comes in prohibitively high, I think I've found the company that's going to put on my new roof.

It looks like Dot is going to be seeing a neurologist in the neat future. When I described Dot's symptoms to the vet this afternoon, she said that Dot was most likely experiencing either a mild petite-mal seizure, or showing very early signs of a possible brain tumor. I made a short movie of Dot last night and when my vet saw it, she pointed out some telltale signs of abnormal vestibulo-ocular movement that indicated Dot was probably feeling a severe case of vertigo and was having difficulty maintaining an upright orientation. This all made a lot of sense, and seemed to describe Dot's two other incidents perfectly. Evidently, this type of balance disorder can be an early sign of inner ear problems, low blood pressure, brain tumors, and stroke. Dot will probably have to get either a CAT scan or an MRI later this month. One way or another, we'll find out what's going on.

One of my clients wants me to take over their social media efforts. I'm trying to decide what to charge for this kind of service, and a bit reluctant to even get involved in a project like this at all. In my experience, social media is a bottomless pit. Anyone can be a spammer, but if you really want to have a continuous stream of new and interesting content, you'd better be prepared to spend an enormous amount of time and effort. I think that's why a lot of companies give up on social media. They usually start out with good intentions, posting new and interesting stuff for several weeks, or even several months. Eventually, they discover that they've either run out of things to say, or run out of time to say it. Since I can write about anything almost indefinitely, people often want me to do their social media for them. This takes a lot of time though. More time than I typically have. I don't think my client will be willing to pay for what it would take to do this right.

I ran out of time today before I got around to going over to the battery store to get a new battery for my lawn mower. Maybe tomorrow. I didn't really feel like mowing the grass today anyway. The best news of the day was when my accountant called late in the day to tell me I'd be getting a tax refund this year. Yay! That's the kind of news I like to hear.

Cooper is today's Dalmatian of the Day
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